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Individual

SUSAN MARIE MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
5955 PONCE DE LEON BLVD, CORAL GABLES, FL 33146-2423
(305) 661-1515
(305) 662-3723
Mailing address
5955 PONCE DE LEON BLVD, CORAL GABLES, FL 33146-2423
(305) 661-1515
(305) 662-3723

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
ME115513
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008 813 600
FL
Enumeration date
02/07/2007
Last updated
04/26/2017
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